| NPI | 1780017525 |
|---|---|
| Former Name | CRYSTAL LOUISE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60355508) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-07-30 |