NPI | 1508220658 |
---|---|
Former Name | TIFFANY CHOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A157885) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-05 |
Last Update Date | 2018-11-15 |