| NPI | 1952622813 |
|---|---|
| Former Name | SANDRA L. WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301108308) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.123177) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-07-28 |