NPI | 1013245661 |
---|---|
Former Name | BONNIE TONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016507) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430472-1) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2020-08-30 |