| NPI | 1821455783 |
|---|---|
| Former Name | EUN J AN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN224478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN224478) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2024-10-29 |