| Contact Information | |
|---|---|
| First Name | Louella |
| Last Name | Schmidt |
| State | NH |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| ClaudiaLBS@AOL.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | |
| Name of Injured | - |
| Date of Injury | |
| Type of Injury | Obstetric |