| NPI | 1326551136 |
|---|---|
| Former Name | CRYSTAL M HAMRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2882) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-12-01 |