| NPI | 1912188020 |
|---|---|
| Former Name | CHRISTINE CHICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL oa6260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL os6260) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-06-22 |