| NPI | 1285868612 |
|---|---|
| Former Name | JENNIFER MIRA OH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P5440) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-01-30 |