| NPI | 1972881654 |
|---|---|
| Former Name | CRYSTAL IRENE BEHOFSITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R5046) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R5042) |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS17129) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2021-08-04 |