NPI | 1346378114 |
---|---|
Professional Name | THAO PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11729T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11729) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-01-05 |