| NPI | 1669123741 |
|---|---|
| Former Name | KATIE ALYSSA CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61429532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017401) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2026-10-21 |