NPI | 1154684553 |
---|---|
Former Name | JESSICA SHANSHAN LIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A140884) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-06-20 |
Last Update Date | 2024-07-09 |