| NPI | 1801295589 |
|---|---|
| Former Name | TIDA THONGRUBKAEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 833120) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |