| NPI | 1972359263 |
|---|---|
| Former Name | JACQUELYN MARIE CROWE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP028390) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP028390) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |