NPI | 1013053784 |
---|---|
Former Name | YAE WON KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A108395) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A108395) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD d64642) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-03-02 |