| NPI | 1083691174 |
|---|---|
| Former Name | HAE KYUNG KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 049343) |
| 207Q00000X Family Medicine (Licence: AZ 34657) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2021-06-09 |