| NPI | 1780660472 |
|---|---|
| Former Name | ALYSSA T WATANABE LOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA G63862) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G63862) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2021-11-29 |