| NPI | 1265115406 |
|---|---|
| Other Name | KIM PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 1265115406) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA MP0684921) |
| 363A00000X Physician Assistant (Licence: CA 67708) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2026-07-18 |