| NPI | 1659649150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITA RANI GUPTA Owner 267-981-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A101037) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2023-06-05 |