| NPI | 1316486160 |
|---|---|
| Professional Name | MIKASA L CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017004311) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-12-18 |