| NPI | 1275721623 |
|---|---|
| Former Name | JULIA K SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 645952) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 119682-030) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-10-22 |