NPI | 1184985525 |
---|---|
Former Name | JULIE ANN ZITTERKOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL 37050) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6722) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2018-08-14 |