NPI | 1124326079 |
---|---|
Former Name | TAARA SULTAANA HASSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 60094) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 53612) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2021-12-20 |