Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 95005498 | CA |
NPI | 1023551256 |
---|---|
Provider Name | Christina Nguyen Liu |
First Address | San Diego, CA 92127-5705 |
Second Address | Oceanside, CA 92056-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2016 |
Last Update Date | 03/01/2022 |