| NPI | 1518927813 |
|---|---|
| Former Name | JULIE K NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 32351-020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 32351) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-09-16 |