NPI | 1255743274 |
---|---|
Former Name | KIMBERLY SWART KRUGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R4940) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX R4940) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2019-08-26 |