NPI | 1194105692 |
---|---|
Former Name | RAEANNE HUNTER SCHAFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17372-NP) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2021-01-14 |