NPI | 1083643480 |
---|---|
Former Name | CAROLINE KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 53837) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 037189) |
208000000X Pediatrics (Licence: CT 037189) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2023-06-20 |