NPI | 1720518665 |
---|---|
Former Name | SENA SERENA YOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85248) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-07-21 |