| NPI | 1912342932 |
|---|---|
| Former Name | CRYSTAL ROSE POPPKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0990730) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2015-04-21 |