NPI | 1417250218 |
---|---|
Former Name | AMBER LYNN KRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024188428) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 158944-9) |
363L00000X Nurse Practitioner (Licence: MN 29) | |
Enumeration Date | 2010-12-16 |
Last Update Date | 2025-01-22 |