NPI | 1912534686 |
---|---|
Former Name | CASSANDRA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2273550) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2273550) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2024089066) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2025-01-08 |