NPI | 1457028607 |
---|---|
Former Name | JUSTINE ANN SCHNAITMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R217544) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2024-08-21 |