| NPI | 1730387499 |
|---|---|
| Former Name | TRISHA LYN CHUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 8276) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 050536) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2015-02-23 |