| NPI | 1992781462 |
|---|---|
| Former Name | JULIE MARIE BOLENBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: AL MD 29839) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 26530) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-06-18 |