| NPI | 1427325208 |
|---|---|
| Former Name | SHARON ANN CRANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.002915041.235644) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |