| NPI | 1881751360 |
|---|---|
| Former Name | EUNICE NAMI JEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 7430) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051233) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-05-28 |