| NPI | 1932697745 |
|---|---|
| Former Name | CASSANDRA DISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006724A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102206677) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-07-07 |