| NPI | 1992715379 |
|---|---|
| Former Name | KAREN LYNNE CRUIKSHANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP2195) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN037770) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-10 |