NPI | 1184155202 |
---|---|
Former Name | STACEY REBECCA CHU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WA MD61459858) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-08-14 |