| NPI | 1538618293 |
|---|---|
| Former Name | CRYSTAL EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 216032) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2023-09-18 |