| NPI | 1942608690 |
|---|---|
| Former Name | CASSANDRA ANDRADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5795) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AZ 5795) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-12-22 |