NPI | 1780946913 |
---|---|
Former Name | JULIE A ELLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71003986) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28176922) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2021-01-28 |