NPI | 1346634276 |
---|---|
Former Name | JULIA E ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.148640) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-28 |
Last Update Date | 2023-07-21 |