NPI | 1154486546 |
---|---|
Former Name | KRISTINA NICOLE KRUGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028956) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC 10943) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2019-05-29 |