| NPI | 1326019753 |
|---|---|
| Former Name | MARK JEFFREY LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101037650) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101037650) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-12-02 |