| NPI | 1649446378 |
|---|---|
| Professional Name | BAO TRAM DESERIE LU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005339) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2021-12-16 |