NPI | 1306125562 |
---|---|
Former Name | DORA A. SCHRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4486) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4486) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2022-11-08 |