NPI | 1932500808 |
---|---|
Former Name | JENNIFER GRACE SCHWARZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5859-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704364760) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2023-09-11 |