NPI | 1689890014 |
---|---|
Former Name | KIMBERLY SUE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2003016626) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209006518) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2017-05-01 |