| NPI | 1073724068 |
|---|---|
| Former Name | JENNIFER GO CO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME110023) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 50631-20) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-07-13 |