NPI | 1902151277 |
---|---|
Former Name | JULIE LICATA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95008505) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824569) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2018-03-17 |