NPI | 1114487535 |
---|---|
Former Name | SUZANNE ELLEN WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 58.030736) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-03-21 |