| NPI | 1275993271 |
|---|---|
| Former Name | JULIE D YEISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2970-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164-004138) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |