| NPI | 1831696160 |
|---|---|
| Other Name | STEPHANIE YING FONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A163399) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-01-11 |