NPI | 1295205557 |
---|---|
Former Name | JULIE FAY ERATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025994) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95180430) |
Enumeration Date | 2018-11-29 |
Last Update Date | 2023-09-12 |