| NPI | 1093101768 |
|---|---|
| Former Name | AMANDA LYNNE KRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015005058) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-10-07 |