NPI | 1336457423 |
---|---|
Former Name | JULIA ANNE CORREIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020548) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.19660) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60186771) | |
Enumeration Date | 2010-09-22 |
Last Update Date | 2019-07-29 |