NPI | 1790245256 |
---|---|
Former Name | PHUONG BAO HO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A19502) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-10-01 |