NPI | 1710367024 |
---|---|
Former Name | JULIA MARIE SCHERPENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.363661) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2018-09-07 |