| NPI | 1437480514 | 
|---|---|
| Former Name | JULIE MACKLIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000674)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC-001173)  | 
| Enumeration Date | 2010-01-29 | 
| Last Update Date | 2021-03-17 |