NPI | 1073956033 |
---|---|
Former Name | CORRIE JOY SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0061265) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-09 |
Last Update Date | 2021-04-08 |