NPI | 1306345368 |
---|---|
Former Name | JOY SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017024409) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017024409) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2022-10-18 |