| NPI | 1710208731 |
|---|---|
| Former Name | JOANNA CHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 263165) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-06-24 |