| NPI | 1942780143 |
|---|---|
| Former Name | KASSANDRA KAY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993836-NP) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-08-07 |