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 |