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 |