| NPI | 1437223708 |
|---|---|
| Former Name | TINA H WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA4586) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 23-011294) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-03-07 |