NPI | 1073031993 |
---|---|
Former Name | JULIA HARTFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95007258) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007258) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2018-04-25 |