| NPI | 1215207238 |
|---|---|
| Former Name | SONYA CHIN TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.126523) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2016-03-15 |