| NPI | 1417585126 |
|---|---|
| Former Name | THANH-HA ALYSSA PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4363) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 321867) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2022-07-28 |