| NPI | 1013659887 |
|---|---|
| Former Name | DIANA TRAN NGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RESIDENT) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NM RESIDENT) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-03-26 |