| NPI | 1184263162 |
|---|---|
| Former Name | JULIE A KOCEMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 255718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1055944) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 255718) | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2024-10-03 |