| NPI | 1336983840 |
|---|---|
| Former Name | JULIANE FIDAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 309275) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0103669-C-NP) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2025-02-08 |