| NPI | 1083829022 | 
|---|---|
| Former Name | TAMMY NGUYEN WONG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX RB442)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245518-1)  | 
| 207L00000X Anesthesiology (Licence: CA 20A9446)  | |
| Enumeration Date | 2007-05-12 | 
| Last Update Date | 2019-11-21 |