| NPI | 1376957795 |
|---|---|
| Former Name | JENNIFER LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A139471) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2017-08-10 |