| NPI | 1972824274 |
|---|---|
| Former Name | JULIANNE PUPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD447928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09293600) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2015-04-21 |