Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP125611 | TX |
NPI | 1205258068 |
---|---|
Provider Name | Ms. Katrina Jeanette Schumacher |
First Address | Richardson, TX 75082 |
Second Address | Richardson, TX 75082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2014 |
Last Update Date | 10/07/2014 |