| NPI | 1144350786 |
|---|---|
| Former Name | GAIL CRYSTAL PARENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801057669) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MI 4704101026) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |