NPI | 1003284290 |
---|---|
Former Name | CRYSTAL-ANN B. SPANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: WA RN60089490) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60089490) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2019-08-06 |