NPI | 1972304160 |
---|---|
Former Name | SHAVON A CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 95229454) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 317422) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-03-24 |