| NPI | 1821318395 |
|---|---|
| Former Name | CRYSTAL M BYERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA050990) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000948) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-12-28 |