NPI | 1649389842 |
---|---|
Former Name | JULIA VIRGINIA MIDDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 177174) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-09 |