| NPI | 1154405207 |
|---|---|
| Other Name | CRYSTAL GAIL BAILEY GARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 058943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27865) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-06-12 |