| NPI | 1942021175 |
|---|---|
| Former Name | CASSANDRA NICOLE FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |