| NPI | 1174142079 |
|---|---|
| Former Name | JULIA ELIZABETH ROELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-06-28 |