| NPI | 1841654845 |
|---|---|
| Former Name | JULIE SAGE WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X (Licence: NC 2019-01588) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-01588) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-09-21 |