| NPI | 1629360854 |
|---|---|
| Former Name | CRYSTAL LATOYA BURTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn369157) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2024-08-06 |