NPI | 1720770514 |
---|---|
Former Name | JAYLENE CHARITY SCHLICHTING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10202) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 10202) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2023-10-18 |