| NPI | 1013153816 |
|---|---|
| Former Name | JULIE MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06813) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001058A) |
| 363A00000X Physician Assistant (Licence: IN 99033970A) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2022-07-21 |