NPI | 1033286430 |
---|---|
Former Name | CASEY LORRAINE WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A80114) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80114) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-02-13 |