NPI | 1952537441 |
---|---|
Former Name | JULIE LYNN SARICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002363) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057747) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2016-03-14 |