NPI | 1609405653 |
---|---|
Former Name | HEE CHONG JENNIFER LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.165856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0073448) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-07-01 |