| NPI | 1083798490 |
|---|---|
| Former Name | JENNIFER KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 05190) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 2840) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-06-23 |