NPI | 1093359283 |
---|---|
Former Name | KRISTINE MELISSA SCHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908653NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201404107RN) |
363L00000X Nurse Practitioner (Licence: OR FO6190765) | |
Enumeration Date | 2019-10-31 |
Last Update Date | 2020-02-07 |