NPI | 1275264103 |
---|---|
Former Name | CRYSTAL ANN ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 26199) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26199) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-06-13 |