NPI | 1376934901 |
---|---|
Former Name | AMANDA MARIE SCHOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18994) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.18994) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2018-04-02 |