| NPI | 1548665607 |
|---|---|
| Former Name | CRYSTAL CHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014036835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014036835) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2011005736) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-03-16 |