NPI | 1255769261 |
---|---|
Former Name | STEPHANIE THUY VI BUI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08808) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017033) |
363A00000X Physician Assistant (Licence: PA MA056533) | |
363AM0700X Physician Assistant, Medical (Licence: TX PA08808) | |
363AS0400X Physician Assistant, Surgical (Licence: TX PA08808) | |
Enumeration Date | 2013-10-30 |
Last Update Date | 2020-08-11 |