| NPI | 1255823654 |
|---|---|
| Former Name | KIM HA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61075127) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60864834) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-06-03 |