| NPI | 1740524875 |
|---|---|
| Former Name | ERICA DIANE CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN70226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70226-FNP-BC) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-09-19 |