| NPI | 1508465840 |
|---|---|
| Former Name | TRAN QUYEN TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062043) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00606600) |
| 363A00000X Physician Assistant (Licence: PA OA005408) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-10-03 |