| NPI | 1851730022 |
|---|---|
| Former Name | KRYSTAL SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10047960) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2016-02-11 |