| NPI | 1417420019 |
|---|---|
| Former Name | JULIA K VINER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019774) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019774) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-05-31 |