| NPI | 1851891352 |
|---|---|
| Former Name | JULIE CECILE MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-78060-042) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |