| NPI | 1225275662 |
|---|---|
| Former Name | JULIE MEREDITH FETTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01661) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NC 001001661) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2016-04-01 |