NPI | 1023675501 |
---|---|
Former Name | CYNTHIA J KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 79236) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MN 79236) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2025-07-10 |