| NPI | 1407140643 |
|---|---|
| Former Name | STEPHANIE A CRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006025282) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2006025282) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-10-13 |