NPI | 1851418362 |
---|---|
Other Name | MARY JIRKA SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 2145) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 84688) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-10-27 |