| NPI | 1720382542 |
|---|---|
| Former Name | JULIE ANN FEDEWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L131922) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704231076) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2021-03-29 |