NPI | 1023045291 |
---|---|
Former Name | JULIE KLEINBAUER ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011449) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN303356L) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-08-06 |