| NPI | 1194262279 |
|---|---|
| Former Name | BRANDI LEA CRUMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71010016A) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP132688) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-02-21 |