| NPI | 1710705538 |
|---|---|
| Other Name | JENNIFER CHAU MINH DANG LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-07 |