NPI | 1558739110 |
---|---|
Former Name | MAILO K. YANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002004) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP10459) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2023-10-09 |