| NPI | 1699206748 |
|---|---|
| Former Name | JULIA ALICE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 287338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 287338) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-08-22 |