NPI | 1760748446 |
---|---|
Former Name | KRYSTAL W CHIAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-45892) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A126783) |
Enumeration Date | 2012-04-06 |
Last Update Date | 2020-09-08 |