| NPI | 1154704179 |
|---|---|
| Former Name | NGOC B STAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339688) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-06-28 |