| NPI | 1629679279 |
|---|---|
| Former Name | CRYSTAL LYNN SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 125821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 125821) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-09-24 |