| NPI | 1285052548 |
|---|---|
| Former Name | JULIE ELIZABETH LEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019024517) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2019024517) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 05-40078) | |
| 207R00000X Internal Medicine (Licence: KS 05-40078) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-07-15 |