| NPI | 1730521980 |
|---|---|
| Former Name | JULIE HANNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 265005) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9318328) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2019-03-20 |