Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 4301502587 | MI |
NPI | 1063807089 |
---|---|
Provider Name | Dr. Nagham Leanne Jafar |
First Address | Trenton, NJ 08638-4143 |
Second Address | Lansing, MI 48912-1811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2015 |
Last Update Date | 20/07/2020 |