| NPI | 1740431261 |
|---|---|
| Former Name | JULIE KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60856976) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MD R166659) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-05-10 |