NPI | 1306161476 |
---|---|
Former Name | TRANG QUYNH PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: SC 51411) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8525) |
207Q00000X Family Medicine (Licence: TX P8525) | |
Enumeration Date | 2010-04-01 |
Last Update Date | 2017-10-18 |