NPI | 1730782392 |
---|---|
Other Name | DUNG PHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018423) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1018423) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2025-09-29 |