NPI | 1083798490 |
---|---|
Former Name | JENNIFER KRUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2840) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 05190) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2024-10-04 |