NPI | 1457750267 |
---|---|
Former Name | VIRGINIA SCHLAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007410) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 180670) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2019-07-22 |