NPI | 1720095433 |
---|---|
Former Name | BRITTANY THANH NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 235918) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 042798) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |