NPI | 1104025873 |
---|---|
Former Name | PRUDENCE N CHIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 38825) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD44169) |
208000000X Pediatrics (Licence: TN MD44169) | |
Enumeration Date | 2007-07-13 |
Last Update Date | 2017-01-09 |