NPI | 1790956985 |
---|---|
Former Name | CHRISTINA MARIE CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30007863) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00162115) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |