NPI | 1427005545 |
---|---|
Other Name | JULIE A GRUNDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 040018) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WY 7675A) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2007-09-19 |