| NPI | 1659839611 |
|---|---|
| Former Name | CRYSTAL KAY RASMUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN25508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN192513) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2022-08-08 |