| NPI | 1851664908 |
|---|---|
| Former Name | CATHERINE REGINA CRENSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN176345) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN176345) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-09-10 |