| NPI | 1639926173 |
|---|---|
| Former Name | KIM CHI QUACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: AK 121542) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |