| NPI | 1225500200 |
|---|---|
| Former Name | JULIE MARIE FREDERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E56706) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NJ 4234935) |
| 163WH0200X Registered Nurse, Home Health (Licence: CT None) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: WI 2005457394) | |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |