NPI | 1538474796 |
---|---|
Former Name | STEPHANIE ELAINE CROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP119724) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP119724) |
Enumeration Date | 2010-08-12 |
Last Update Date | 2023-12-15 |