| NPI | 1386223816 |
|---|---|
| Former Name | JULIE JEANNINE VANDERBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME168882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301510029) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-10-08 |