NPI | 1073055877 |
---|---|
Former Name | CUOI BANH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ANRP9283031) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9283031) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2020-04-03 |