NPI | 1700347242 |
---|---|
Former Name | YOON JI AHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 1015157) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: IL 125.074597) | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-09-13 |