| NPI | 1962877282 | 
|---|---|
| Former Name | JOO YEON YUN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004720) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340096) | 
| Enumeration Date | 2015-12-11 | 
| Last Update Date | 2019-10-02 |