| NPI | 1053651679 |
|---|---|
| Former Name | NANCY KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01482700) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2019-01-12 |