NPI | 1114287976 |
---|---|
Former Name | TONYA M CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007453) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170081) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2023-07-31 |