| 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 |