| NPI | 1265692123 |
|---|---|
| Former Name | CHERIE O SIU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 48556) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128438) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125055005) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-12-02 |