| NPI | 1770606063 |
|---|---|
| Former Name | MAHJABEEN ISLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.053406) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH OH053406) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-01-24 |