| NPI | 1578781860 |
|---|---|
| Former Name | HEUN JIN CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD440415) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP00090) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-04-06 |