| NPI | 1073928651 |
|---|---|
| Former Name | JENNIFER TRANG LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 19031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036141632) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-08-30 |