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 |