| NPI | 1093124984 |
|---|---|
| Former Name | TINA CHEUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10673) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108008) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2017-02-06 |