| NPI | 1295985273 |
|---|---|
| Former Name | JULIA TYE VASSAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.20182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-081164) |
| 207Q00000X Family Medicine (Licence: AL 1-081164) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-12-08 |