| NPI | 1083201479 |
|---|---|
| Former Name | JACQUELINE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph237062) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 76327) |
| 183500000X Pharmacist (Licence: NH PHCY-01440) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2026-01-05 |