NPI | 1538508338 |
---|---|
Former Name | KATHY DUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OK 47) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 6842) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2024-06-05 |