| NPI | 1699380667 |
|---|---|
| Former Name | SE YEON KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180089) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-09-30 |