NPI | 1437172947 |
---|---|
Former Name | QUYNH-NHU THI PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00045858) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00045858) |
207Q00000X Family Medicine (Licence: GA 58998) | |
207Q00000X Family Medicine (Licence: PA MD427869) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2009-12-15 |