| NPI | 1740690726 |
|---|---|
| Former Name | JULIE ZAMORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011509) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-01-06 |