| NPI | 1578900833 |
|---|---|
| Former Name | JENNY M WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015198) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-09-12 |