| NPI | 1669715421 |
|---|---|
| Former Name | AMANDA LYNN KROHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 860) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R216856-8) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2024-08-13 |