| NPI | 1073573721 |
|---|---|
| Former Name | JULIANNE D COLLINGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 46183) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301061848) |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2017-02-17 |