| NPI | 1992156434 | 
|---|---|
| Other Name | KATHERINE MARIE CROTWELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09214)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901559)  | 
| Enumeration Date | 2016-06-27 | 
| Last Update Date | 2021-03-22 |