| NPI | 1730450578 |
|---|---|
| Former Name | SURAYYO WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 789243) |
| 163W00000X Registered Nurse (Licence: NE 69496) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2021-09-23 |