NPI | 1003507195 |
---|---|
Former Name | LOAN MY TRINH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39459) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-05-18 |
Last Update Date | 2023-05-28 |