| NPI | 1497806053 | 
|---|---|
| Former Name | CHARMAYNE CRAWFORD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R130947)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN32269)  | 
| Enumeration Date | 2007-01-12 | 
| Last Update Date | 2007-07-08 |