| NPI | 1215596036 |
|---|---|
| Former Name | MCKENZIE B SCHAEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 11020485A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 05137) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-09-14 |