| NPI | 1093274912 |
|---|---|
| Former Name | ALICIA JO CRABTREE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019028) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209019028) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-02-06 |