NPI | 1912326810 |
---|---|
Former Name | JACKIE ZHUOJUN HE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10270400) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 53766) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2018-02-08 |