| NPI | 1285365478 |
|---|---|
| Other Name | STACY WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 35512) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA 35512) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-12-04 |