| NPI | 1578723698 |
|---|---|
| Former Name | MARY JEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101249628) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038660) |
| 207Q00000X Family Medicine (Licence: VA 0101249628) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-05-18 |