NPI | 1215543087 |
---|---|
Former Name | JESSICA L SCHMINKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010498A) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2024-08-16 |