| NPI | 1639339864 |
|---|---|
| Former Name | TRACY SUYI LO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD038791) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD038791) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2013-08-13 |