| NPI | 1952792459 |
|---|---|
| Former Name | CALLIE LECROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018308) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77226) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 77226) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-04-13 |