| NPI | 1881789972 |
|---|---|
| Former Name | CASSANDRA J SHIPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 711193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704209034) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-04-24 |