| NPI | 1003312984 |
|---|---|
| Former Name | KATHLEEN MEERA LOPEZ KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN256618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN256618) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN256618) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2020-01-22 |