NPI | 1508373036 |
---|---|
Former Name | TAYLOR MARLENE SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4244-23) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 4244-23) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2024-02-21 |