NPI | 1003892167 |
---|---|
Other Name | JULIA DARLENE DIMICK-FULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-322584L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN321584L) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2022-01-11 |