NPI | 1447879010 |
---|---|
Former Name | JULIE RENEE PLANETA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 831638) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: NV RN49194) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-06-02 |