| NPI | 1952974172 |
|---|---|
| Former Name | SONG YING WU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021047214) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0084346) | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2024-02-09 |