| 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 |