NPI | 1912069634 |
---|---|
Former Name | JULIE L BIGELOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-093067) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 093067) |
163W00000X Registered Nurse (Licence: IL 041-289553) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.018048) | |
Enumeration Date | 2006-12-16 |
Last Update Date | 2021-08-20 |