| NPI | 1750552477 |
|---|---|
| Former Name | KATHLEEN QUYEN TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2009030111) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10025358) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2009030111) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2024-05-29 |