| 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 |