NPI | 1891238374 |
---|---|
Former Name | KRISTEN C. KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 10935197-1202) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2518) |
Enumeration Date | 2016-12-01 |
Last Update Date | 2022-06-09 |