| NPI | 1841727344 |
|---|---|
| Former Name | JULIA JEAN AGNEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 4498) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |