| NPI | 1710599675 |
|---|---|
| Former Name | CRYSTAL DAWN HARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L054117) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |