| NPI | 1124724133 |
|---|---|
| Former Name | LY KIM TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95020549) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 95020549) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-08-29 |