NPI | 1821485384 |
---|---|
Former Name | JULIE LEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 48161) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 01501922NP-PP) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2021-09-21 |