NPI | 1508246406 |
---|---|
Former Name | JULIE ANN NOWITZKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9393982) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-120651) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2024-02-12 |