| NPI | 1790433910 |
|---|---|
| Former Name | HYOJEONG MIA BYUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO MSAPN.0000010NP) |
| 363L00000X Nurse Practitioner (Licence: CA 95020259) | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-10-31 |