NPI | 1215315551 |
---|---|
Former Name | JENNIFER LINDA CHENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0065611) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 67080) |
2085R0202X Radiology Diagnostic Radiology (Licence: OH 390200000X) | |
2085R0202X Radiology Diagnostic Radiology (Licence: NE 2362) | |
2085R0202X Radiology Diagnostic Radiology (Licence: WY 13482A) | |
Enumeration Date | 2015-05-06 |
Last Update Date | 2021-07-21 |