| NPI | 1891053153 |
|---|---|
| Former Name | AMANDA TANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A141034) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-12-15 |