| NPI | 1194348318 |
|---|---|
| Other Name | THAIS NAN KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95014585) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-08-05 |