| NPI | 1205425972 |
|---|---|
| Former Name | LINDSEY J KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022570) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041.369276) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-05-05 |