NPI | 1699314773 |
---|---|
Former Name | JULIA MICHELLE WASHBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09723) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-01-06 |
Last Update Date | 2025-04-03 |