| NPI | 1356571517 |
|---|---|
| Former Name | OKSONG ELLIE KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003561) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00080700) |
| 171100000X Acupuncturist (Licence: NY 3561) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-10-16 |