| NPI | 1588071815 |
|---|---|
| Former Name | KENDRA D KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NE 111673) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NE 111673) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-09-23 |