Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME116299 | FL |
NPI | 1114241007 |
---|---|
Provider Name | Dr. Kristin Dianne Chai |
First Address | Tamarac, FL 33351-4353 |
Second Address | Tamarac, FL 33351-4353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2010 |
Last Update Date | 20/10/2015 |