| NPI | 1912042557 |
|---|---|
| Former Name | JULIE ANN RACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101015420) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009380) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-07-23 |