NPI | 1326203332 |
---|---|
Former Name | JULIE ZUCHOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CA A115979) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-07-20 |
Last Update Date | 2020-05-07 |