| NPI | 1083072680 |
|---|---|
| Other Name | MIJU SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 863440) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F0116958) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-07-21 |