NPI | 1073795928 |
---|---|
Former Name | HEATHER A. SCHENKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000505) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP000505) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2022-04-29 |