NPI | 1851862098 |
---|---|
Former Name | BRITTNEY ROSE SCHROADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25135) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 192240) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3015356) | |
Enumeration Date | 2018-12-16 |
Last Update Date | 2024-10-15 |