| NPI | 1841244084 |
|---|---|
| Former Name | CARLA J POTTSCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 1841244084) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 71001541A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12371) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-09-22 |