NPI | 1235756842 |
---|---|
Former Name | TRISHA SCHMITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020019087) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020019087) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-11-20 |