NPI | 1700308426 |
---|---|
Former Name | RACHEL LYNN KROEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G131062) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2023-05-02 |