| NPI | 1235699661 |
|---|---|
| Former Name | JESSICA KINYEN LI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101278496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL82587) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-06-09 |