| NPI | 1124654454 |
|---|---|
| Former Name | JENNIFER LYNN NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN834267) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2024-05-14 |