| NPI | 1215203682 |
|---|---|
| Former Name | JESSICA C LI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301115174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50854) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2021-03-31 |