| NPI | 1679861835 |
|---|---|
| Former Name | CHRISTINE UYEN PHUONG TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50769) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12643) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |