NPI | 1750767174 |
---|---|
Former Name | KATIE J KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4038) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 4038) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2020-10-05 |