Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D0068587 | MD |
N | 207VG0400X | Gynecologist | D0068587 | MD |
NPI | 1932318490 |
---|---|
Provider Name | Thao Van Thi Nguyen |
First Address | Rockville, MD 20850-3218 |
Second Address | Rockville, MD 20850-6228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 31/12/2015 |