NPI | 1538111471 |
---|---|
Former Name | LATIFA JANICE JALALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 237874) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME105724) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-10-29 |