| NPI | 1689613622 |
|---|---|
| Former Name | CARRIE C KLEINSCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE NE975) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 975) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-09-12 |