| NPI | 1114368172 |
|---|---|
| Former Name | SANDRA SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00544700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15538600) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2015-05-19 |