NPI | 1154529030 |
---|---|
Former Name | KIMBERLY CHIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A115683) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2007017358) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2008018027) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2021-10-28 |