NPI | 1508120213 |
---|---|
Former Name | JULIE APPLETON ZUCKERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015683) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 015683) |
363AM0700X Physician Assistant, Medical (Licence: MI 5601006387) | |
Enumeration Date | 2012-06-27 |
Last Update Date | 2017-01-23 |