NPI | 1164805354 |
---|---|
Former Name | AMITY TUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A143950) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A143950) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2019-09-12 |