NPI | 1073032504 |
---|---|
Former Name | JULIA KATHLEEN VANDROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009888) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2024-01-04 |