| NPI | 1508877788 |
|---|---|
| Former Name | CRYSTAL L STRONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01066698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013271) |
| 207Q00000X Family Medicine (Licence: ID M-12895) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-12-13 |