NPI | 1265611263 |
---|---|
Former Name | SYLVIA LYNNE CROUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704194363) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2332500) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2023-09-18 |