NPI | 1245510445 |
---|---|
Former Name | GRACE CHOI HWANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 12.004754) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 4754) |
Enumeration Date | 2011-08-19 |
Last Update Date | 2022-09-13 |