NPI | 1669796389 |
---|---|
Former Name | LYDIA KUO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: VA 0101260166) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2017-02262) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118553) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2024-08-15 |