| NPI | 1609212257 |
|---|---|
| Former Name | KATHLEEN WALLACH SCHMIEGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 277.000970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 1982958013) |
| 363L00000X Nurse Practitioner (Licence: IL 277.000970) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-02-16 |