| NPI | 1972197325 |
|---|---|
| Former Name | CASSANDRA ELLEN HUSK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021012254) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO AG02210135) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-04-09 |