| NPI | 1396094405 | 
|---|---|
| Former Name | JULIE M. SMALL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: LA AP06827)  | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: LA RN095361)  | 
| Enumeration Date | 2012-09-05 | 
| Last Update Date | 2012-12-14 |