| NPI | 1558894212 |
|---|---|
| Former Name | JACQUELINE THIEU LANCHI NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A159576) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-11-14 |