NPI | 1295836062 |
---|---|
Former Name | ANNA K TRUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004629) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004576) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2018-08-20 |