NPI | 1184033722 |
---|---|
Former Name | ANGELA WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 35541) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 35541) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2017-04-19 |