NPI | 1598011371 |
---|---|
Former Name | MISOOK LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60302041) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WA AP60302041) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2019-08-07 |