| NPI | 1295115988 |
|---|---|
| Former Name | CASSIE DIEM TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101271878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 18162907) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-07-13 |