| NPI | 1356994073 | 
|---|---|
| Former Name | JULIA GUARD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013876A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3018984) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP025496) | |
| Enumeration Date | 2019-07-22 | 
| Last Update Date | 2023-07-17 |