NPI | 1588104665 |
---|---|
Former Name | STEPHANIE CRISP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71006943A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006943A) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2025-09-30 |