Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101252310 | VA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101252310 | VA |
NPI | 1043505589 |
---|---|
Provider Name | Elizabeth V Schulz |
First Address | Fpo, AP 96362-0199 |
Second Address | Fpo, AP 96362-0199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 12/07/2017 |