NPI | 1710151626 |
---|---|
Former Name | DUNG PHUONG LY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD61593101) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A92013) |
208600000X Surgery (Licence: CA A92013) | |
Enumeration Date | 2008-04-22 |
Last Update Date | 2024-10-01 |