| NPI | 1992330781 |
|---|---|
| Former Name | PHUONG THAO DINH NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302044687) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |