NPI | 1003103847 |
---|---|
Former Name | JULIE L MONROE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013002829) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2011016876) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2022-07-21 |