NPI | 1558868794 |
---|---|
Former Name | HYUNJUNG AN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9363399) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9363399) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG01180043) | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2020-08-06 |