NPI | 1619542537 |
---|---|
Former Name | HANG LE PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023878) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023878) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2022-02-16 |