| NPI | 1841756434 |
|---|---|
| Former Name | AI LE KIEM PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12727) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-11-22 |