| NPI | 1932495827 |
|---|---|
| Former Name | JULIE ELLYN HERINGHAUSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301098875) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2017-00834) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-10-10 |