NPI | 1730439456 |
---|---|
Former Name | LYNN NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60817908) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60817908) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2024-05-24 |