NPI | 1417250218 |
---|---|
Former Name | AMBER LYNN KRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 29) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 158944-9) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2024-09-13 |