| NPI | 1922463835 |
|---|---|
| Former Name | THAO NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011546) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6764) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2022-09-08 |