| NPI | 1164478418 |
|---|---|
| Former Name | LYNN BAKEERAH HASSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX pending) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 34010) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-01-11 |