| NPI | 1588356026 |
|---|---|
| Former Name | JOANNA B CROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 84804) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114846) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A175033) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2025-05-02 |