| NPI | 1154530228 |
|---|---|
| Former Name | JENNIFER LYNNE KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 402) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-02-03 |