| NPI | 1801135116 |
|---|---|
| Former Name | JULIE LORELLE SHUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 16982) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 604522) |
| 363A00000X Physician Assistant (Licence: CA 1073131) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-03-25 |