| NPI | 1972886356 |
|---|---|
| Former Name | JULIANNE WHELAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055118) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00326400) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2019-10-24 |