NPI | 1306612155 |
---|---|
Former Name | LEAH R SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11356) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 11356) |
Enumeration Date | 2023-12-01 |
Last Update Date | 2024-05-21 |