| NPI | 1194329185 | 
|---|---|
| Former Name | BICH VAN NGUYEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016416)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95034617)  | 
| Enumeration Date | 2020-11-30 | 
| Last Update Date | 2021-03-08 |