NPI | 1649235318 |
---|---|
Former Name | KIM KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AZ RN058632) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 123) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-08 |