NPI | 1881789972 |
---|---|
Former Name | CASSANDRA J SHIPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 711193) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704209034) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-09-13 |