NPI | 1366936247 |
---|---|
Former Name | SERENA LYNNE SCHWECHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: ALPP-313868) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2021-04-15 |