| NPI | 1437640034 |
|---|---|
| Former Name | AMANDA KHANH PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557595-061) |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2019-03-13 |