Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | D82662 | MD |
NPI | 1154663466 |
---|---|
Provider Name | Jennifer Wei-Ruth Lin |
First Address | Fulton, MD 20759-2694 |
Second Address | Silver Spring, MD 20902-5006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 30/04/2021 |