| NPI | 1124312632 |
|---|---|
| Former Name | JULIE NICOLE MONTAVON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL DO.1317) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL DO.1317) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-09-12 |