NPI | 1639735616 |
---|---|
Former Name | JULIE RENEE ROMASKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-131696) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2021-03-09 |