NPI | 1073277828 |
---|---|
Former Name | LAY BINH TANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60741) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-10-27 |
Last Update Date | 2022-10-24 |