NPI | 1902661572 |
---|---|
Former Name | RYLEE CHANTEL SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11295) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11295) |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-02-20 |