| NPI | 1104474428 |
|---|---|
| Other Name | KRYSTAL NICOLE HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178525) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD R193425) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-01-16 |