| NPI | 1003221102 |
|---|---|
| Other Name | PRISCILLA TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95084957) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 76464) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-01-03 |