| 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 |