| NPI | 1346507555 |
|---|---|
| Former Name | VICTORIA THIDA TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22178) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 22178) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2025-12-23 |