| NPI | 1720213531 |
|---|---|
| Professional Name | AMY WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP17153) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2012-11-02 |