| NPI | 1215916515 |
|---|---|
| Former Name | JULIE ANNA WAKELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003280) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 1043889967) |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 1992372403) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 1992372403) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-02-27 |