NPI | 1164999041 |
---|---|
Former Name | CHRISTINA NICOLE MCCRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN24880) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24880) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2020-10-23 |