NPI | 1407964851 |
---|---|
Former Name | CATHERINE M CRUTCHFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00545) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200364) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2016-08-26 |