| 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 |