| NPI | 1629473541 |
|---|---|
| Other Name | TINA TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012082) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-05-09 |