| NPI | 1336568823 |
|---|---|
| Former Name | TAYLOR JIEUN NORTHERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: AL D-0007005-C) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: OK 35599) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-11-14 |