| NPI | 1902812530 |
|---|---|
| Former Name | MISTY EVAGENE CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN081564) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ RN081564) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-02-10 |