NPI | 1598216483 |
---|---|
Former Name | THY HOANG VU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006653) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006885) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2024-01-19 |