NPI | 1780154815 |
---|---|
Former Name | JULIA RIGG STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202211533NP-PP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60914400) |
Enumeration Date | 2018-12-02 |
Last Update Date | 2023-01-23 |