| NPI | 1609217660 |
|---|---|
| Former Name | VICKI M SCHWAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704246582) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704246582) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-07-21 |