| NPI | 1710320791 |
|---|---|
| Former Name | JULIE C BIRCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 273511) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-11-17 |