NPI | 1407211287 |
---|---|
Former Name | JULIANA M PIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 6715-33) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WI 6715 - 33) |
Enumeration Date | 2015-12-22 |
Last Update Date | 2024-05-20 |