| NPI | 1851526230 |
|---|---|
| Former Name | JENNIFER ANN KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 53736) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2012-12-21 |