NPI | 1417220377 |
---|---|
Former Name | CARMEN LYNN CROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP121443) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121443) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2020-09-16 |