| NPI | 1306576087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNYOUNG LEE Family Nurse Practitioner /Owner 346-338-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-12-25 |