| NPI | 1487784138 |
|---|---|
| Former Name | PHYLLIS WAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY MD 239857) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q6478) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-01-04 |