| NPI | 1689965683 | 
|---|---|
| Former Name | JISUN OH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 01012488892)  | 
| Enumeration Date | 2011-04-25 | 
| Last Update Date | 2011-04-25 |