NPI | 1790259968 |
---|---|
Former Name | MICHELLE ANN SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 219837-4405) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 219837-3102) |
363L00000X Nurse Practitioner (Licence: UT 219837-8900) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 219837-8900) | |
Enumeration Date | 2019-01-21 |
Last Update Date | 2021-06-24 |