NPI | 1760008874 |
---|---|
Former Name | KELLI SCHENDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10303) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 161654) |
363L00000X Nurse Practitioner (Licence: WI 10303-33) | |
Enumeration Date | 2020-06-24 |
Last Update Date | 2023-10-24 |