NPI | 1598128860 |
---|---|
Former Name | JULIANNE KANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007092RX) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 7468) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2021-11-04 |