NPI | 1447696653 |
---|---|
Former Name | JULIE M HOOGERHYDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01077073A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-05-14 |
Last Update Date | 2022-06-28 |