| NPI | 1538111471 |
|---|---|
| Former Name | LATIFA JANICE JALALI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME105724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237874) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-12-18 |