| NPI | 1780061150 |
|---|---|
| Former Name | SELINA S PATEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 147437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 287455) |
| 207Q00000X Family Medicine (Licence: CT 56047) | |
| 207Q00000X Family Medicine (Licence: MI 4301110938) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-05-16 |