| NPI | 1891761524 |
|---|---|
| Former Name | THAO KIMPHUONG NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 44790-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036099127) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-03-07 |