| NPI | 1093115701 |
|---|---|
| Former Name | JENNIFER NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000128) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: 43) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2023-02-26 |