| NPI | 1508118258 |
|---|---|
| Former Name | LAURIE ANN CRNKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP07078) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2024-06-21 |