NPI | 1275914285 |
---|---|
Former Name | CRYSTAL STARR EASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007681) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007681) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2021-01-12 |