| NPI | 1881189280 |
|---|---|
| Former Name | CASSANDRA CROWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R207512) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R207512) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-09-10 |