| NPI | 1235594417 |
|---|---|
| Former Name | KATIE JO SCHUCHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015567) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R186557) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2021-01-22 |