NPI | 1801096912 |
---|---|
Former Name | CHAU THANH TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO153854) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60078597) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2015-01-22 |