| NPI | 1417164450 |
|---|---|
| Former Name | MAILY TARA NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A9324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11017) |
| 208000000X Pediatrics (Licence: CA 20A9324) | |
| 208000000X Pediatrics (Licence: FL OS11017) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-06-26 |