| NPI | 1063983914 |
|---|---|
| Former Name | JULIA MAY LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F02190642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R190175) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-08-24 |