| NPI | 1861939241 |
|---|---|
| Former Name | CASSANDRA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP5321) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-01-06 |