NPI | 1205460235 |
---|---|
Former Name | LILY TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237266) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN159701) |
Enumeration Date | 2020-02-28 |
Last Update Date | 2024-08-26 |