NPI | 1275721623 |
---|---|
Former Name | JULIA K SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116672) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 645952) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2025-08-22 |