| NPI | 1033769906 | 
|---|---|
| Former Name | SUN MI SUH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178234) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024178234) | 
| Enumeration Date | 2019-09-12 | 
| Last Update Date | 2024-03-22 |