NPI | 1578164604 |
---|---|
Former Name | THUY THO LE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61407253) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61407253) |
Enumeration Date | 2020-11-04 |
Last Update Date | 2023-10-11 |