| NPI | 1942731856 |
|---|---|
| Former Name | KELLY WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 236080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824969) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001388) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-08-16 |