NPI | 1881672798 |
---|---|
Former Name | JULIE ROSE PISKUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A117850) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-15414) |
207R00000X Internal Medicine (Licence: IL 036113683) | |
Enumeration Date | 2006-01-03 |
Last Update Date | 2023-12-08 |