| NPI | 1760026272 |
|---|---|
| Other Name | CONNIE N QUACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187399) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018234) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2024-01-23 |