| NPI | 1639796766 |
|---|---|
| Former Name | COURTNEY PAIGE SCHULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020019958) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-05-27 |