| 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 |