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 |