| NPI | 1538488788 |
|---|---|
| Former Name | JULIE IRENE RIEWERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.133697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN15064) |
| 207Q00000X Family Medicine (Licence: FL ME111895) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-06-05 |