| NPI | 1073902433 |
|---|---|
| Former Name | STEPHANIE MIAN WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101282517) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101282517) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2024-09-06 |