NPI | 1609068832 |
---|---|
Former Name | JULIE LOUISE OTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 50936) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 50936) |
Enumeration Date | 2007-08-12 |
Last Update Date | 2016-07-28 |