| NPI | 1609933803 |
|---|---|
| Former Name | CRYSTAL RUTH MEBANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC md19387) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD19387) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-03-02 |