| NPI | 1508283078 |
|---|---|
| Former Name | TIFFANY MICHELLE CHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.142627) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2017-06-22 |