| NPI | 1417245382 |
|---|---|
| Former Name | MICHELINE LATALIZA MCBRINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-01497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 275648) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-02-14 |