NPI | 1427625185 |
---|---|
Former Name | D'AMBRA SUZANNE KRUGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1502523) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-06-09 |
Last Update Date | 2022-08-22 |