| NPI | 1013114636 |
|---|---|
| Former Name | MICHELLE PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0070701) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101243981) |
| 207L00000X Anesthesiology (Licence: MD D86639) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-08-15 |