| NPI | 1679853634 |
|---|---|
| Former Name | KATIE E. KRUPKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00367400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 014932-1) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-04-10 |