| NPI | 1780365296 |
|---|---|
| Former Name | CRYSTAL DAWN YBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 82222) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2024036373) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2026-01-28 |