| NPI | 1326368713 |
|---|---|
| Former Name | CHRISTINE NICOLE POACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 45179) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: AZ 45179) |
| 207R00000X Internal Medicine (Licence: AZ R72096) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ R72096) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: AZ 45179) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2022-07-21 |