NPI | 1093472375 |
---|---|
Former Name | KARA E. SCHWANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 35204) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 223995) |
Enumeration Date | 2021-11-22 |
Last Update Date | 2024-09-26 |