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 |