| NPI | 1568884682 |
|---|---|
| Former Name | EUN IM CHONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001217574) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |