| NPI | 1629393715 |
|---|---|
| Former Name | STEPHANIE NGOC-TU NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A117917) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2020-05-28 |