| NPI | 1821362344 |
|---|---|
| Other Name | HOLIAM IRENE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10295000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 260111) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2018-06-04 |