| NPI | 1558630442 |
|---|---|
| Former Name | CATHERINE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21423) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21423) |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA21423) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2017-11-20 |