NPI | 1770041931 |
---|---|
Former Name | NGUYEN DUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA RN95182526) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-04-29 |