| NPI | 1811459084 | 
|---|---|
| Former Name | CHRISTINE CHANG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102209180)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A20035)  | 
| Enumeration Date | 2019-04-04 | 
| Last Update Date | 2025-08-05 |