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 |