| NPI | 1386629780 |
|---|---|
| Former Name | ANDREA BIRCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 20232) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 339014) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2024-04-22 |