| NPI | 1164071684 |
|---|---|
| Former Name | JULIA GRIENITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA57260) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14353) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-11-17 |