Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 17363 | CA |
NPI | 1144429911 |
---|---|
Provider Name | Gale L Schmaltz |
First Address | Roseville, CA 95747-4941 |
Second Address | Sacramento, CA 95817-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |