NPI | 1790073294 |
---|---|
Former Name | SONJA EARLENE CRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 280785) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN169034) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2023-09-15 |