| NPI | 1275726515 |
|---|---|
| Former Name | FOLASHADE OMODELE AJAKAIYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 274344-1) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 48693) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2017-03-08 |