| NPI | 1285910851 |
|---|---|
| Former Name | CRYSTAL MARIE SONNENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 728186) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2023-12-19 |