| NPI | 1255597563 |
|---|---|
| Former Name | KORRINA WAILONNA WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R169405) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-03-03 |