| NPI | 1124635446 | 
|---|---|
| Former Name | TORI CRABTREE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014938)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 0306350)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0027691)  | |
| Enumeration Date | 2020-09-30 | 
| Last Update Date | 2022-02-28 |