| 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 |