| NPI | 1154109296 |
|---|---|
| Former Name | NAHYUN KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS0450990) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02984300) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-08-04 |