| 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 |