NPI | 1326148495 |
---|---|
Former Name | TUY THI TRUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110728) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601004799) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2018-04-02 |