| NPI | 1164071684 | 
|---|---|
| Former Name | JULIA GRIENITZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14353)  | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA57260)  | 
| Enumeration Date | 2019-09-06 | 
| Last Update Date | 2025-07-21 |