NPI | 1538482823 |
---|---|
Former Name | THU THI XUAN NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00364600) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 0137831) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2023-05-31 |