| NPI | 1538548904 |
|---|---|
| Former Name | JEAN BING FONSECA, WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA PGY.202860) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-06-10 |