| NPI | 1538672522 |
|---|---|
| Former Name | MONICA ANNE CRANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996227-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 5549) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-11-29 |