| NPI | 1508168089 |
|---|---|
| Former Name | JENNIFER ELLEN NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101253542) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A112123) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2020-10-28 |