| NPI | 1396464103 |
|---|---|
| Former Name | JENNA CRUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014282A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28236032A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28236032A) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-09-05 |