NPI | 1487023222 |
---|---|
Former Name | HEATHER HA-THANH NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52823) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-09-23 |
Last Update Date | 2021-12-15 |