NPI | 1003173873 |
---|---|
Former Name | JULIE ANNE SIEGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 616078) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-10-30 |