NPI | 1912318205 |
---|---|
Former Name | KIM THUY TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10049729) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q7120) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2024-04-16 |