NPI | 1225195506 |
---|---|
Former Name | LOAN NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 58394) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX M5407) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-04-20 |