| NPI | 1669721700 |
|---|---|
| Former Name | MI SOON JUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23192) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 627394) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-10-11 |