| NPI | 1548722515 |
|---|---|
| Former Name | TIFFANY FAE UICHANCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX U8117) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-07-08 |