NPI | 1417273426 |
---|---|
Former Name | KATHY THI TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD169036) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-058841) |
207Q00000X Family Medicine (Licence: IL 036131795) | |
207Q00000X Family Medicine (Licence: CA A125476) | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2014-10-29 |