| 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 |