| 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 | 2026-01-11 |