| NPI | 1457654964 |
|---|---|
| Other Name | NICOLE MARIE JUILLANTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN556715) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DE L60A00611) |
| 367H00000X Anesthesiologist Assistant (Licence: DE L10038271) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2018-06-04 |