| NPI | 1811287279 |
|---|---|
| Former Name | JULIE CATHERINE IANNAZZONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1007952) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-09-23 |