NPI | 1205194594 |
---|---|
Former Name | ANNA M CRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 17764) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: SC 17764) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2013-10-24 |