NPI | 1851060263 |
---|---|
Former Name | TAYLOR MARLENE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021032479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017026407) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-04-18 |