NPI | 1568109494 |
---|---|
Former Name | AUDREE ANA CROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020823) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9900952-3102) |
363LF0000X Nurse Practitioner Family (Licence: CA 95020823) | |
163W00000X Registered Nurse (Licence: CA 95185488) | |
Enumeration Date | 2022-05-12 |
Last Update Date | 2023-12-19 |