| NPI | 1609260751 |
|---|---|
| Former Name | DIVYA NARENDRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 282076) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 309671) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-07-07 |