NPI | 1114396207 |
---|---|
Former Name | JULIE A SOCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007514) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC675) |
363A00000X Physician Assistant (Licence: KY PA2307) | |
363A00000X Physician Assistant (Licence: IN 10002201A) | |
Enumeration Date | 2015-09-18 |
Last Update Date | 2024-12-17 |