NPI | 1912038555 |
---|---|
Former Name | JULIA L KRIZAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: KS 18-00225) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 2002030254) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |