| NPI | 1669822011 |
|---|---|
| Former Name | JULIE M. KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1991) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2768) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-03-06 |