| NPI | 1902085962 |
|---|---|
| Former Name | LY NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21775) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12037) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2015-07-16 |