| NPI | 1285686154 |
|---|---|
| Former Name | KYU WON KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME99852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 227412) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-11-27 |