NPI | 1770380834 |
---|---|
Former Name | JULIA BARTOLOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115930) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 94477) |
Enumeration Date | 2025-02-26 |
Last Update Date | 2025-07-08 |