| NPI | 1497786784 |
|---|---|
| Former Name | JAIME MARIE PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 058621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD20060492) |
| 208000000X Pediatrics (Licence: WA MD00046742) | |
| 208000000X Pediatrics (Licence: SC 25269) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-03-17 |