NPI | 1639710700 |
---|---|
Former Name | KYMBERLEY ANNE SCHRADER-XENIDIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001354) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0024920) |
163WH0200X Registered Nurse, Home Health (Licence: DE LI-0024920) | |
Enumeration Date | 2019-09-30 |
Last Update Date | 2021-01-11 |