NPI | 1356705230 |
---|---|
Former Name | NATALIE ANN KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61103120) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A141427) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2021-01-06 |