| NPI | 1700360328 |
|---|---|
| Former Name | CIJIANA DUONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60883167) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-10-14 |