| NPI | 1326677014 |
|---|---|
| Former Name | JULIE MARY BITTAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME168370) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125-078182) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-05-12 |