| NPI | 1619721289 |
|---|---|
| Former Name | STEPHANIE SCHRADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003162) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003162) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-09-12 |