NPI | 1598142309 |
---|---|
Former Name | AN AN WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62537) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 192828-30) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-30 |
Last Update Date | 2023-04-28 |