| NPI | 1376801100 |
|---|---|
| Former Name | GERALDINE JADE CHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME152767) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 312553) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60739992) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD17921) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD452262) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2023-05-12 |