| NPI | 1144201799 |
|---|---|
| Former Name | KELLY TUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 49780) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A97602) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2019-06-06 |