NPI | 1215308622 |
---|---|
Former Name | LAUREN JOY SCHMITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4132) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2018-10-11 |