| NPI | 1871126391 |
|---|---|
| Former Name | KELSEY CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021050418) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209020614) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023044236) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-03-08 |