NPI | 1538694914 |
---|---|
Other Name | JUNG MIN KANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007388) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 717640) |
363LA2100X Nurse Practitioner Acute Care (Licence: CA 95007388) | |
Enumeration Date | 2017-04-24 |
Last Update Date | 2018-03-17 |