| NPI | 1336647569 |
|---|---|
| Former Name | AMANDA RAE CRALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2776) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9350211) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-03-22 |