NPI | 1194009555 |
---|---|
Other Name | ALICIA KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2751) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 203887-6) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2020-11-09 |