NPI | 1194056630 |
---|---|
Former Name | SARA A SCHLORHOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MN 20091559) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 178485-9) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2012-04-20 |