| NPI | 1932464468 |
|---|---|
| Former Name | ANNALYSE VICTORIA KREGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6452-33) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: WI 17809930) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6452) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-12-28 |