| NPI | 1275767626 |
|---|---|
| Former Name | JACQUELINE TRAM NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX M8211) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2011-09-13 |