| NPI | 1619575768 |
|---|---|
| Former Name | KARA ELYSE CRISWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022828) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN633646) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-11-19 |