| NPI | 1124724133 | 
|---|---|
| Former Name | LY KIM TRAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020549) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95020549) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 95020549) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020549) | |
| Enumeration Date | 2023-02-01 | 
| Last Update Date | 2025-01-29 |