| NPI | 1508139965 |
|---|---|
| Former Name | DESIRAE J CROCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX N8339) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N8339) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2015-07-09 |