| NPI | 1972636843 | 
|---|---|
| Former Name | TIA L CHIRICO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118346)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1780)  | 
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2025-05-22 |