| NPI | 1871017657 |
|---|---|
| Former Name | CASSANDRA KAY HANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IA K133802) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |