NPI | 1699425504 |
---|---|
Former Name | KENDRA MANZONI CROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61436670) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61436670) |
Enumeration Date | 2022-03-24 |
Last Update Date | 2024-08-15 |