| NPI | 1669540357 |
|---|---|
| Former Name | VADSANA K KHAMPHAKDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2011025324) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-45830-102) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-05-17 |