NPI | 1851796957 |
---|---|
Former Name | CASSANDRA AUGUSTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404549) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691006) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2022-11-21 |