NPI | 1447758735 |
---|---|
Former Name | YEN PHUONG VU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7162) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60835121) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2022-12-28 |