NPI | 1346834488 |
---|---|
Former Name | JULIA A MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11011775) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL APRN11011775) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2023-07-21 |