NPI | 1649621335 |
---|---|
Other Name | TRUDY PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A170010) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301110538) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2021-02-02 |