| NPI | 1457625279 |
|---|---|
| Former Name | JUN LI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001248601) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2021-02-05 |