| NPI | 1770594475 |
|---|---|
| Former Name | JILL TRACEY RUTTERS SCHENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64183-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR-50806) |
| 146D00000X Personal Emergency Response Attendant (Licence: CA A87051) | |
| 207Q00000X Family Medicine (Licence: CA A87051) | |
| 207Q00000X Family Medicine (Licence: KS 04-49107) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-03-27 |