| NPI | 1366884926 | 
|---|---|
| Former Name | KARLA D CRAWFORD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2022-00599)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4715)  | 
| 207Q00000X Family Medicine (Licence: FL ME142530)  | |
| 208D00000X General Practice (Licence: IL 125064109)  | |
| Enumeration Date | 2013-07-24 | 
| Last Update Date | 2022-09-07 |