NPI | 1720460447 |
---|---|
Former Name | KAREN JENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 278523) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264072) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2021-04-01 |