| NPI | 1437495033 |
|---|---|
| Former Name | KELLY ANNE CREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-03417) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: 119001) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-10-09 |