NPI | 1427324334 |
---|---|
Former Name | STEPHANIE S TANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IA MD-47077) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-47077) |
208000000X Pediatrics (Licence: MO 2017014911) | |
Enumeration Date | 2012-03-25 |
Last Update Date | 2020-07-15 |