NPI | 1225194863 |
---|---|
Former Name | JULIE ANN WILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN065764) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA RN686555) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |