| NPI | 1063894475 |
|---|---|
| Other Name | BORAM SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00890500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f339122) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-09-08 |