| NPI | 1114188281 |
|---|---|
| Former Name | JULIA ELIZABETH RUNYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3005977) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 5977P) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2015-09-01 |