NPI | 1447225768 |
---|---|
Former Name | JULIE AMELIA OHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME127399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01043647A) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2016-04-12 |