| NPI | 1750816237 |
|---|---|
| Former Name | CASEY ELIZABETH SCHWANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-127605) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-04-05 |