NPI | 1720591712 |
---|---|
Former Name | RITA ANNE SCHRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00756600) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00756600) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00756600) | |
Enumeration Date | 2017-11-13 |
Last Update Date | 2020-12-16 |