NPI | 1093248312 |
---|---|
Other Name | JESSICA SON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: TX U2328) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57030020) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-07-05 |