NPI | 1124796057 |
---|---|
Other Name | JENNIFER OH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029724) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ 238478) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95229514) | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2024-07-12 |