| NPI | 1700152899 |
|---|---|
| Former Name | GRACE TUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09735400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T0653) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-10-11 |