NPI | 1043746621 |
---|---|
Former Name | JIWON HELEN SHIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A159214) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61425994) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A159214) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD61425994) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-03-25 |