| NPI | 1285913459 |
|---|---|
| Former Name | MICHELLE BAOCHAU NGUYEN-PHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60223721) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2012-10-30 |