NPI | 1326436197 |
---|---|
Former Name | JENNY CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004209) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-01-02 |
Last Update Date | 2024-12-23 |