| NPI | 1790807659 |
|---|---|
| Former Name | JULIE CLARE SCHRECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: CO 0052807) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: OH 35095723) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-04-12 |