| NPI | 1003572041 |
|---|---|
| Other Name | BECCA HADDAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4919) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-03-07 |