NPI | 1083142202 |
---|---|
Former Name | JENNIFER SEZ CHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 73158-21) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-152177) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125070459) | |
Enumeration Date | 2017-06-01 |
Last Update Date | 2020-07-20 |