NPI | 1316911985 |
---|---|
Former Name | JULIE D MOREIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA200036) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 200036) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2024-12-17 |