| NPI | 1225538762 |
|---|---|
| Former Name | KAREN TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007908) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95007908) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-10-18 |