| NPI | 1770761009 |
|---|---|
| Former Name | JENNIFER WINNIE WEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P2980) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08410300) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2013-09-30 |