| NPI | 1487073474 |
|---|---|
| Former Name | MICHELLE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX S2836) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S2836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-06-27 |