NPI | 1336217926 |
---|---|
Former Name | YOO KYUNG AHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TN MD0000010960) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A34687) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |