Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 289610 | OH |
NPI | 1154880060 |
---|---|
Provider Name | Julie A Christian |
First Address | Dayton, OH 45404-1873 |
Second Address | Dayton, OH 45404-1873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2019 |
Last Update Date | 19/03/2019 |