| NPI | 1225592827 |
|---|---|
| Former Name | CRYSTAL LEFFINGWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 163042) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 29119) |
| 164W00000X Licensed Practical Nurse (Licence: KY 2043666) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |