| NPI | 1982492534 |
|---|---|
| Former Name | KASSANDRA KAYE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R055787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2156376) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |