| NPI | 1184045783 |
|---|---|
| Former Name | HEATHER WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP4838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4838) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2023-07-19 |