NPI | 1629477112 |
---|---|
Former Name | JEANNY CHEUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5662) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006657) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2309) | |
Enumeration Date | 2014-08-20 |
Last Update Date | 2021-08-31 |