NPI | 1285061952 |
---|---|
Former Name | JENNIFER HELEN SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 505685) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2017-01-13 |