NPI | 1568895415 |
---|---|
Former Name | JENNIFER THU TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 009645) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61115543) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2024-09-17 |