| NPI | 1558517912 |
|---|---|
| Former Name | DIEM JILLIAN TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004666) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.002789) |
| 363A00000X Physician Assistant (Licence: WV 01575) | |
| 363A00000X Physician Assistant (Licence: PA MA056113) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2018-04-24 |