| NPI | 1386864619 |
|---|---|
| Former Name | CRYSTAL RAVENEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH np09333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 09333) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2022-08-05 |