NPI | 1497716823 |
---|---|
Former Name | JULIE DUBOIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 2009000596) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 753514) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2023-03-07 |