| NPI | 1316113160 |
|---|---|
| Former Name | AIMEE DISHAROON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL29182) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2021-03-17 |