NPI | 1417380486 |
---|---|
Former Name | KELLY M SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111568) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111568) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2020-03-02 |