| NPI | 1528623295 |
|---|---|
| Former Name | CATHERINE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112394) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA9588) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-06-06 |