| NPI | 1104494673 |
|---|---|
| Former Name | EMILY CAROLINE KROEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023047878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12122) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-07-08 |