| NPI | 1235557000 |
|---|---|
| Former Name | AUDREY DANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MS 37138) |
| Additional Taxonomies | 2085R0001X (Licence: LA 313034) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2026-05-27 |