| 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 |