| NPI | 1396521159 |
|---|---|
| Former Name | JENNY RUAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041441989) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2026-05-21 |