| NPI | 1104340009 |
|---|---|
| Former Name | KRYSTEL GAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134720) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134720) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-01-30 |