NPI | 1598292534 |
---|---|
Former Name | MINH-ANH PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017012410) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77712) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-02-16 |