Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2017015052 | MO |
Y | 2080P0216X | Pediatric Rheumatologist | 2017015052 | MO |
NPI | 1174904502 |
---|---|
Provider Name | Dr. Erica Grace Schmitt |
First Address | Saint Louis, MO 63110-1002 |
Second Address | Saint Louis, MO 63110-1002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2015 |
Last Update Date | 15/11/2021 |