| NPI | 1871872309 |
|---|---|
| Former Name | LIDA JAFARI SARAF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A132217) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2021-12-02 |