NPI | 1710433834 |
---|---|
Former Name | MONICA NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004558) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004558) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004558) | |
Enumeration Date | 2016-08-29 |
Last Update Date | 2021-02-09 |