| NPI | 1265090922 |
|---|---|
| Former Name | NINA SCHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 10560013-1302) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 816789) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-10-16 |