| NPI | 1023542677 |
|---|---|
| Former Name | DEBORAH ABIOLA AHOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T7211) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227522) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-07-10 |