NPI | 1326392374 |
---|---|
Former Name | TUYETLAN THI NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09175) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA055864) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2024-09-19 |