NPI | 1467676403 |
---|---|
Former Name | KATHLEEN SCHOMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15645) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 762800) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2013-08-27 |