| NPI | 1275559023 |
|---|---|
| Former Name | JENNIFER MARIE LUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 35481) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 35481) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-03-07 |