| NPI | 1639915267 |
|---|---|
| Former Name | JULIE ELIZABETH ULLOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034974) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9234452) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-08-28 |