NPI | 1831762806 |
---|---|
Former Name | GAYATHRI DEVI JUPUDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD480648) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: PA MT224196) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2023-12-14 |