| NPI | 1346687415 |
|---|---|
| Former Name | THERESA QUE PHUONG TRAN YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 58249) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-11-15 |