NPI | 1831551456 |
---|---|
Former Name | ALICIA CREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 0027242) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN344716) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2022-07-21 |