| NPI | 1184047417 |
|---|---|
| Former Name | AMANDA JANE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OR MD203032) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 11718700-1205) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: WA MD61132384) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2021-11-12 |