NPI | 1134351190 |
---|---|
Former Name | NICOLE WING CHEE TONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7863) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013615) |
208D00000X General Practice (Licence: MI 5101018207) | |
Enumeration Date | 2009-08-10 |
Last Update Date | 2015-04-07 |