NPI | 1235230905 |
---|---|
Former Name | MARY HUMBLE NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2576322) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2576322) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2018-11-21 |