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 |