| NPI | 1700142775 |
|---|---|
| Former Name | KHOA DANG TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03234158) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S019023) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2023-08-31 |