| NPI | 1255913364 |
|---|---|
| Other Name | PHUNG KIM LUU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 13567510-1206) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-09-11 |