NPI | 1043602873 |
---|---|
Former Name | ELIZABETH KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: WA MD60870349) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60870349) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2025-07-07 |