| NPI | 1063093151 |
|---|---|
| Other Name | CORRIE CRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11011860) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-07-29 |