| NPI | 1457707572 |
|---|---|
| Professional Name | CHANRACHNA THAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11262-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.016111) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016015966) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA Sp022128) | |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2021-10-15 |