| NPI | 1295473015 |
|---|---|
| Former Name | MIN-YOUNG KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN123619) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.004524) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-10-30 |