| NPI | 1528395969 |
|---|---|
| Former Name | CRYSTAL SULLIVAN SPRINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA156434) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: not applicable) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2023-03-17 |