| NPI | 1518501659 |
|---|---|
| Former Name | JULIE A HORNICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 099135) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 099135) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-02-25 |