| NPI | 1194110395 |
|---|---|
| Former Name | JOANNA KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997814-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 198686) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-01-17 |