| NPI | 1316200355 |
|---|---|
| Former Name | JULIE GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 267093) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 267093) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-09-07 |