| NPI | 1689049033 |
|---|---|
| Former Name | CRYSTAL CRUZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010822A) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2025-06-26 |