| NPI | 1235171703 |
|---|---|
| Former Name | NANCY PHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 605857) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-07-14 |