| NPI | 1902554348 |
|---|---|
| Former Name | JACKIE HE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 20544) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2025-11-07 |