| NPI | 1285868976 |
|---|---|
| Former Name | SHARON PHILLIPS BENATTABOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 260973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 252615) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-02-18 |