| NPI | 1861871857 |
|---|---|
| Other Name | CRYSTAL ROE MONAGHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10054377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4313) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2017-10-11 |