| NPI | 1649476748 |
|---|---|
| Former Name | TANYA LEE DUONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN487694) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA RN487694) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-12 |