NPI | 1982161337 |
---|---|
Other Name | CRYSTAL JOHANNA LAHTI AND WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183153) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95091676) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95011971) | |
Enumeration Date | 2019-02-21 |
Last Update Date | 2024-11-15 |