| NPI | 1679776926 |
|---|---|
| Former Name | JULIA E LOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD438550) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 243186) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-08-25 |