NPI | 1700953262 |
---|---|
Former Name | JULIA K MOLISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MA052961L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 102207) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2016-09-26 |