| NPI | 1386811362 |
|---|---|
| Former Name | MARY NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0065882) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122304) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-06-21 |