NPI | 1750419552 |
---|---|
Former Name | TRANG THIEN NGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 556603) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 874503) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2018-03-17 |