NPI | 1861685448 |
---|---|
Former Name | JULIE LEE WERNETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 256206) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TX 256206) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 256206) | |
Enumeration Date | 2007-08-27 |
Last Update Date | 2019-08-06 |