NPI | 1730535121 |
---|---|
Former Name | PHUONG THAO TRAN QUAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01088115A) |
Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IN 01088115A) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-09-30 |