NPI | 1689286635 |
---|---|
Former Name | JULIE KATHRYN BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN245382) |
Enumeration Date | 2020-08-20 |
Last Update Date | 2024-12-12 |