NPI | 1205381696 |
---|---|
Former Name | CARRIE MARIE SCHROTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011834) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011834) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2020-10-27 |