NPI | 1316234362 |
---|---|
Former Name | JENNIFER ANN SCHULD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4390-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4390-033) |
163W00000X Registered Nurse (Licence: WI 146092-30) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2021-07-05 |