NPI | 1114345311 |
---|---|
Former Name | JENNA MIN KYUM JUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.134735) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-06-12 |