NPI | 1255056578 |
---|---|
Former Name | ANNA GLORIA YOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11025388) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9637770) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-06-21 |