| NPI | 1558872606 |
|---|---|
| Former Name | JULIE MAHLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9406072) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9406072) |
| 207R00000X Internal Medicine (Licence: FL APRN9406072) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-08-21 |