| NPI | 1700280203 |
|---|---|
| Former Name | JULIA NUSSBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001765A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10001765A) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-10-02 |