NPI | 1346422235 |
---|---|
Former Name | TRACY ELIZABETH YUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050067np) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: 104721394) |
363L00000X Nurse Practitioner (Licence: OR 2010410067) | |
Enumeration Date | 2007-12-03 |
Last Update Date | 2024-03-13 |