| NPI | 1578019717 |
|---|---|
| Former Name | JULIE WIKIERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004740RX) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-08-25 |