| NPI | 1770101271 |
|---|---|
| Former Name | CONNIE M RYU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61287312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61287312) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309670) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2022-05-23 |