NPI | 1942702253 |
---|---|
Former Name | KASEY V CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R186205) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994851-NP) | |
Enumeration Date | 2018-03-02 |
Last Update Date | 2024-04-03 |