| NPI | 1497472484 |
|---|---|
| Former Name | JIN OK SEO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185700) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001305710) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-09-29 |