| NPI | 1578584298 |
|---|---|
| Former Name | JULIA F TYBOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD00015945) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 17254-020) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 17254-020) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-02-28 |