| NPI | 1710274410 |
|---|---|
| Former Name | JULIE MARIE MAIRS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013021211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.060358) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-01-03 |