| NPI | 1467866004 |
|---|---|
| Former Name | CRYSTAL NICOLE MARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704245229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704245229) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2021-03-30 |