NPI | 1750601886 |
---|---|
Former Name | SIJIE JOY SHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 38737) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME116152) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2018-09-13 |