| NPI | 1215463161 |
|---|---|
| Former Name | AMANDA TUYET-ANH NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: UT 12925107-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 667387) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA OL60865446) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-08-07 |