NPI | 1992350888 |
---|---|
Former Name | ANGELA YU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78930-102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14147804102) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2023-05-09 |