| NPI | 1477109627 |
|---|---|
| Former Name | THAO MINH DANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2274266) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2274266) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-03-07 |