NPI | 1487014114 |
---|---|
Former Name | CATHERINE LEIGH CRANDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN01167) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01167) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2021-02-10 |