NPI | 1134349574 |
---|---|
Former Name | PATRICIA TUYET NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60568836) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16248) |
183500000X Pharmacist (Licence: CO 18609) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2021-07-12 |