| NPI | 1740610203 |
|---|---|
| Former Name | JENNY VUONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109392) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001004534) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2020-10-21 |