| NPI | 1689247348 |
|---|---|
| Former Name | SEO HYUN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704301568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704301568) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-07-16 |