| NPI | 1699967919 |
|---|---|
| Other Name | LAURIE DEE CROOKSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 201679-4408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 201679-3102) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-06-17 |