| NPI | 1558536698 |
|---|---|
| Former Name | PHAN QUI DANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME104413) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 001930) |
| 208000000X Pediatrics (Licence: FL ME104413) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-08-23 |