| NPI | 1497332571 |
|---|---|
| Former Name | JULIA C SANICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11002-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704260670) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-12-22 |