| NPI | 1649927757 | 
|---|---|
| Former Name | JULIANA GAIL ROSS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-130439) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1942) | 
| Enumeration Date | 2022-03-08 | 
| Last Update Date | 2025-04-28 |