| NPI | 1851818504 |
|---|---|
| Former Name | CASSANDRA KUENZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 30520.1648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 1648) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-12-01 |