NPI | 1982213591 |
---|---|
Former Name | MICHELLE EUNJOO CHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010285A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28218204A) |
363LF0000X Nurse Practitioner, Family (Licence: TN 35335) | |
Enumeration Date | 2020-07-29 |
Last Update Date | 2024-01-23 |