NPI | 1942476551 |
---|---|
Former Name | RASHIDA A JEFFERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD443514) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0068408) |
207Q00000X Family Medicine (Licence: DC MD037627) | |
Enumeration Date | 2008-05-03 |
Last Update Date | 2024-02-19 |