| NPI | 1609262104 |
|---|---|
| Former Name | ASHLEY KRANNAWITTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82607-031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 127154) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-02-05 |