Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-127442 | AL |
NPI | 1023567112 |
---|---|
Provider Name | Sonya Julius |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35249-6943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2016 |
Last Update Date | 23/01/2017 |