NPI | 1235108978 |
---|---|
Former Name | JEANNE L. CRUMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60261412) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A8072) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2019-10-15 |