| NPI | 1124463575 | 
|---|---|
| Former Name | JIA WANG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R3418) | 
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX R3418) | 
| Enumeration Date | 2013-04-29 | 
| Last Update Date | 2019-11-07 |