| NPI | 1609142843 |
|---|---|
| Other Name | JULIE TEA CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA A128531) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60573479) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2025-05-06 |