| NPI | 1922512060 |
|---|---|
| Former Name | DIANA NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021884) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041420255) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2024-02-20 |